DEVIN SISOMPHOU (NPI# 1508344789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508344789 |
Entity Type | Individual |
Full Name | DEVIN SISOMPHOU |
Credential | BCBA, M.ED, LBA |
Practice Address |
6102 82nd St Ste 10 Lubbock TX 79424 |
Mailing Address |
3100 Premier Dr Ste 234 Irving TX 75063-2693 |
Practice Telephone | 8069933333 |
Mailing Telephone | 8069933333 |
Enumeration Date | 2018-07-31 |
Last Update Date | 2019-10-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 247200000X | Technician, Other | RBT-17-33360 | TX | Technologists, Technicians & Other Technical Service Providers |
Y | 103K00000X | Behavioral Analyst | 3032 | TX | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TEXAS DEPARTMENT OF LICENSING & REGULATION | 3032 | 01 |
TX | BACB | RBT-17-33360 | 01 |
Street Address |
6102 82ND ST STE 10 |
City | LUBBOCK |
State | TX |
Zip Code | 79424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
1952923187 | Savannah Mize | Behavior Technician | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2020-05-11 |
1578185997 | Tabor Holcomb | Behavior Technician | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2020-05-07 |
1295375657 | Saralynn Prater Valdez | Behavior Technician | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2020-01-13 |
1093355455 | Kristi Wallae | Behavior Technician | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2020-01-13 |
1992340574 | Shaghayegh Sarah Sohrab | Behavior Technician | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2019-11-07 |
1598306433 | Lyndie Hinson | Behavior Technician | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2019-10-02 |
1932740875 | Ashley Rainwater | Behavior Technician | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2019-10-02 |
1750922696 | Lillie Douglas | Behavior Technician | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2019-10-02 |
1831740281 | Roxanne Guzman | Behavior Technician | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2019-09-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
1942685474 | Robert Cunningham | Pharmacist | 5214 98th Street, Suite 303, Lubbock, TX 79424 | 2015-07-27 |
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Taxonomy Code | 103K00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Behavioral Analyst |
A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558912444 | Amanda Lynn Hampton | Behavioral Analyst | 2811 Oakridge Ave Apt 303, Lubbock, TX 79407-2879 | 2019-09-23 |
1376048231 | Christin Hope Fierro | Behavioral Analyst | 1614 Avenue M Ste 42, Lubbock, TX 79401-4952 | 2018-03-24 |
1053824250 | Allison Elizabeth Sheats | Behavioral Analyst | 2902 18th St, Lubbock, TX 79409-9820 | 2017-11-09 |
1295288868 | Dianna Terry | Behavioral Analyst | 4505 82nd St Ste 5, Lubbock, TX 79424-3219 | 2016-07-29 |
1124420427 | Chrystal Jansz | Behavioral Analyst | 2902 18th Street, Lubbock, TX 79409 | 2014-09-18 |
1336552652 | Cortni Mckay | Behavioral Analyst | 5815 82nd Street Suite 145 #130, Lubbock, TX 79424 | 2014-06-04 |
1497196331 | Caprock Behavioral Solutions,llc | Behavioral Analyst | 3405 63rd St, Lubbock, TX 79413-5416 | 2013-07-08 |
1578822490 | Double Spectrum, Inc. | Behavioral Analyst | 3515 26th St, Lubbock, TX 79410-2025 | 2012-05-12 |
1063788289 | Teresa Balawejder | Behavioral Analyst | 16304 County Road 2040, Lubbock, TX 79423-4618 | 2012-04-02 |
1740413301 | Teresa Ashbridge-balawejder | Behavioral Analyst | 2315 94th St, Lubbock, TX 79423-4403 | 2009-08-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.